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Medicare Part D Glossary




Letter E
Jump to:
: : effective date : : enrollment period
: : eligible drugs : : exclusions
: : eligibility for the Medicare Prescription Drug Program : : explanation of benefits


effective date
The date your insurance is to actually begin. You are not covered until the policies effective date.

eligible drugs
A list of prescription drugs that are covered by a particular Part D plan. Drugs listed on the formulary are also called eligible drugs. A formulary can also be called a preferred-drug list (PDL), or a select drug list.

eligibility for the Medicare Prescription Drug Program
You're eligible for the Medicare Prescription Drug Program if you're eligible for Medicare benefits under Part A or enrolled in Part B and live in the service area of the plan.

enrollment period
The period during which individuals may enroll for an insurance policy, Medicare, HMO benefits. For Medicare Part D, there are different "enrollment periods", the IEP, AEP, OEP, and SEP.

exclusions
Items not covered by an insurance policy. Part D drug plans have two types of exclusions. The first type is the drugs that Medicare has excluded from coverage under Part D, no Part D plan will cover these. The second type is the drugs excluded from a particular plan's list of covered drugs, or formulary, this list varies by Part D plan.

explanation of benefits
The insurance company's explanation of its decision regarding your claim.

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Last updated on: 07/18/2008

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